Karterud S
Psychiatric Department B, Ullevål University Hospital, Oslo, Norway.
Acta Psychiatr Scand. 1988 Oct;78(4):462-70. doi: 10.1111/j.1600-0447.1988.tb06368.x.
The aim of this study was to investigate the validity of Bion's hypothesis of valence and the significance of (DSM-III) diagnoses for inpatient group behavior. All verbal statements (approximately 17,000) from 91 patients in 75 small group therapy sessions were assessed according to Group Emotionality Rating System, which contains the (Bion) categories of dependency, fight, flight and pairing. The results confirmed the valence theory, since diagnoses explained 7-20% of the variance in emotional group behavior, while sex and age only explained 1-2% of the variance. The personality disorders of the schizoid/paranoid spectrum had the strongest valence for fight(/flight). The major depressions and the dependent personality disorders had the strongest valence for dependency. Neuroses and personality disorders had a significantly higher (P less than 0.05) valence for pairing than psychoses. Tables demonstrating the valence strength for 9 diagnostic categories are presented. The group culture seemed to modify behavior differently according to the diagnoses.
本研究的目的是调查比昂的情绪色调假说的有效性以及（《精神疾病诊断与统计手册》第三版）诊断对住院患者群体行为的意义。根据群体情绪评定系统，对75次小组治疗中91名患者的所有言语陈述（约17000条）进行评估，该系统包含比昂的依赖、争斗、逃避和配对类别。结果证实了情绪色调理论，因为诊断解释了群体情绪行为中7% - 20%的变异，而性别和年龄仅解释了1% - 2%的变异。分裂样/偏执型人格障碍在争斗（/逃避）方面具有最强的情绪色调。重度抑郁症和依赖型人格障碍在依赖方面具有最强的情绪色调。神经症和人格障碍在配对方面的情绪色调显著高于精神病（P小于0.05）。文中呈现了展示9种诊断类别的情绪色调强度的表格。群体文化似乎根据诊断不同地改变行为。
